UTA NURS3365 2021 October Module 2 Quiz Latest

NURS3365 Pharmacology in Nursing Practice

Module 2 Quiz

Question 1A client receives 10 mg of morphine orally at home for pain management. The client is in the emergency department and is to receive 4 mg of morphine IV for severe pain. The client asks the nurse why they are only getting 4 mg of IV morphine when at home they take 10 mg of morphine. What is the best response by the nurse?

  “I will administer this dose now and if it does not work, I will double the dose next time in order to control your pain.”

  “I will clarify this order with the healthcare provider because 4 mg is not enough since you take such a large amount at home”

  “Because morphine is highly addictive and we are worried about the opioid crisis, the healthcare provider has ordered a smaller dose for you.”

  “Intravenous medications go directly into the bloodstream while oral medications must first go through the liver and some of the medication is made inactive.”

Question 2 A client with seasonal allergies takes diphenhydramine at bedtime to help their symptoms. The client becomes hyperactive and is unable to sleep. What type of reaction is the client experiencing?

  Adverse drug reaction

  Paradoxical reaction

  Hypersensitivity reaction

  Idiosyncratic reaction

Question 3 The nurse is providing discharge education to an older adult client who will be on 5 prescription drugs. What physiologic changes in the older adult population put this client at risk for drug interactions? Select All That Apply

  Glomerular Filtration Rate is decreased

  Number of working nephrons is decreased

  Blood flow to the gastrointestinal tract is reduced

  Fat content is increased

  Medication cost is increased

  Protein production by the liver is decreased

  Gastric pH is decreased

Question 4 A client is scheduled to receive two highly protein-bound drugs this morning. Assessment data is provided in the table below. Based on this information, what issue is likely to occur?

Vital Signs

Temperature     97.8

Respirations       14

Heart Rate          68

Blood Pressure 100/50

Pain       5

Blood chemistry Panel

Sodium 140 

Potassium           4

Chloride               99

BUN       19

Creatinine           0.7

Albumin               3

Total Protein      5.7

Glucose                145

   Increased risk of drug toxicity

  Increased half-life

  Decreased drug effect

  Decreased bioavailability

Question 5A client will start on an anticonvulsant drug that has a half-life of up to 42 hours, When will the client achieve steady state? Between _______ and_______ days. (Enter a number only, answer to the nearest whole day).

Question 6The nurse is providing discharge instructions to a female client who delivered a healthy, full-term infant. What information should the nurse provide about taking medications while breast feeding?

  It is unlikely that a large enough amount of medication will cross into the breast milk and cause harm to the infant.

  Many medications cross into the breast milk in small amounts and could cause harm to the infant

  The mother should not take any medication while breast feeding in order to prevent harm to the infant

  The mother should pump and discard breast milk 30 minutes after any oral medication is taken.

Question 7When discussing dosage calculation for pediatric clients with a clinical pharmacist, the nurse notes that which type of dosage calculation is used most commonly in pediatric calculations?

  Height-to-weight ratio

  West nomogram

  Milligram per kilogram of body weight formula

  Clark rule

Question 8A client is to receive 0.25 mg digoxin. On hand, the nurse has tablets labeled 125 mcg of digoxin. How many tablets will the nurse administer? (Enter a numeric value only, answer to the nearest whole number).

Question 9The nurse is to administer an IV medication of 200 mg in 100 mL of NS. It is to be infused at 300 mcg per minutes. At what rate (mL/hour) will the nurse set the IV pump? (Enter a numeric value only, round to the nearest whole number and enter only a numeric value).

Question 10The doctor prescribes phenytoin to be given 5 mg/kg/day in 2 divided doses. The client weighs 33 pounds. On hand is a vial labeled 26 mg/mL. How many mL will the nurse administer per dose? (Enter a numeric value only; round to the nearest tenths place)

Question 11A generic name is the proprietary name and is generally written with a capital first letter.

  True

  False

Question 12If the healthcare provider orders 25 mcg of levothyroxine and the nurse has several 12.5 mcg tablets available in the client’s medication drawer, the nurse will administer 2 tablets.

  True

  False

Question 13It is a busy night in the Emergency Department and all the infusion pumps are in already in use. The nurse has an order to infuse normal saline at 100 mL/hour and a tubing set that says there are 15 drops/mL. Calculate the drops per minute needed to achieve 100 mL/hour. (Enter a numeric value only, round to the nearest whole number)

Question 14The healthcare provider orders 1 liter of normal saline to be infused in 8 hours. At what rate (mL/hour) should the nurse set the infusion pump? (Enter a numeric value only)

Question 15It is a busy night in the Emergency Department and all the infusion pumps are in already in use. The nurse has an order to infuse normal saline at 25 drops per minutes and a tubing set that says there are 15 drops/mL. How long will it take for 1 liter to infuse?  (Enter a numeric value only, answer in hours, not minutes)

Explanation & Answer

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